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Fig 1.

Flow chart showing management and pregnancy outcome of 67 fetuses with prenatally diagnosed CPAM.

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Fig 1 Expand

Fig 2.

Transverse section of the fetal thorax at 25 weeks of gestation demonstrating a macrocystic congenital pulmonary airway malformation (CPAM) drained by an inserted double pigtail catheter (Harrison Fetal Bladder Stent Set).

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Table 1.

Outcome of fetuses with intrauterine treatment of congenital pulmonary airway malformation.

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Fig 3.

Transverse and longitudinal section of the fetal thorax demonstrating a large microcystic congenital pulmonary airway malformation (CPAM) with mediastinal shift at 19 weeks of gestation.

CVR (CPAM volume ratio): 2.88 x 1.77 x 2.31 x 0.52/16.1 (head circumference) = 0.38.

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Fig 4.

Receiver operator characteristics curve for the congenital pulmonary airway malformation-volume ratio (CVR) and composite adverse outcome or need for intervention.

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Fig 5.

Transverse section of the fetal thorax at 19 weeks of gestation demonstrating a large macrozystic congenital pulmonary airway malformation (CPAM) with severe mediastinal shift.

MTR (Mass-to-thorax ratio): 26.9 / 42.3 = 0.63.

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Fig 6.

Receiver operator characteristics curve for Mass-to-thorax ratio (MTR) and composite adverse outcome or need for intervention.

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Fig 7.

Receiver operator characteristics curve for observed to expected lung-to-head ratio (o/e LHR) and composite adverse outcome or need for intervention.

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Fig 8.

Detectionrate in % of adverse events (perinatal death, hydrops, prenatal intervention or need for respiratory assistance) at a cutoff of 0.51 mass-to-thorax rate (MTR) in comparison to fetuses without adverse events.

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Fig 9.

Detectionrate in % of adverse events (perinatal death, hydrops, prenatal intervention or need for respiratory assistance) at a cutoff of 0.91 CPAM volume ratio (CVR) in comparison to fetuses without adverse events.

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Fig 10.

Detectionrate in % of adverse events (perinatal death, hydrops, prenatal intervention or need for respiratory assistance) at a cutoff of 45% observed to expected Lung to head ratio (LHR) in comparison to fetuses without adverse events.

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